Vicente-Herrero M T, Ramírez Iñiguez de la Torre M V, Ruiz de la Torre E, Reinoso Barbero L
Servicio de Medicina del Trabajo, SPP Grupo Correos, Valencia, España.
Servicio de Medicina del Trabajo, SPP Grupo Correos, Albacete, España.
Semergen. 2020 May-Jun;46(4):225-233. doi: 10.1016/j.semerg.2019.08.004. Epub 2020 Apr 12.
This purpose of this work is to determine the care preferences and the required use of medical care by migraine patients in the different countries of Europe, and the observed differences depending on their social and demographic conditions.
Cross-sectional observational study by anonymous web survey of 3,342 patients from Spain, Italy, France, Portugal, Ireland, United Kingdom, Germany, and a mixed group of countries not included in the initial design.
age, gender, country, type of location, level of studies and rural or urban area. The demand for care is collected by neurologist, primary care doctors/family/general practitioners, by occupational health doctors, nurses, by other doctors/other specialists, non-medical control/self-control.
The patients more seen by a neurologist were about 21-60years old and with a high cultural level. Primary care/family doctor care is higher in urban areas. Occupational medicine, nursing, and other specialties predominate in large cities. Self-control is greater in patients aged 21-40years and in women. Spain and Germany are the countries with the greatest demand for care in Neurology and Primary Care.
The medical demand for migraine care in Europe shows irregular results according to countries, with it being a priority in neurology and with less participation of Primary Care physicians, work doctors, nurses, or other specialties. Differences are observed by age, gender, and cultural level both in the demand for care and in the choice of specialist. It is important to take into account the percentage of patients who have no medical control.
本研究旨在确定欧洲不同国家偏头痛患者的护理偏好和所需的医疗护理，以及根据其社会和人口状况观察到的差异。
通过匿名网络调查对来自西班牙、意大利、法国、葡萄牙、爱尔兰、英国、德国以及最初设计未纳入的一组混合国家的3342名患者进行横断面观察研究。
年龄、性别、国家、地点类型、学历水平以及农村或城市地区。护理需求由神经科医生、初级保健医生/家庭医生/全科医生、职业健康医生、护士、其他医生/其他专科医生、非医疗控制/自我控制来收集。
神经科医生接诊最多的患者年龄约为21 - 60岁，文化水平较高。城市地区初级保健/家庭医生护理比例更高。职业医学、护理和其他专科在大城市占主导地位。21 - 40岁的患者和女性自我控制能力更强。西班牙和德国是神经科和初级保健护理需求最大的国家。
欧洲偏头痛护理的医疗需求因国家而异，结果参差不齐，神经科护理是优先事项，初级保健医生、职业医生、护士或其他专科的参与较少。在护理需求和专科选择方面，年龄、性别和文化水平存在差异。考虑没有医疗控制的患者比例很重要。
